Clinical Nurse-Special Delivery

The Special Delivery Unit (SDU) is a unique unit delivering approximately 400 babies per year that provides individualized and compassionate nursing care to women carrying babies with fetal anomalies. The SDU is the world's first birthing facility located within a pediatric hospital that provides comprehensive care to these mothers before, during, and after delivery. The unit includes two operating rooms (one for cesarean sections and one for fetal surgeries), a 15-bedded LDRP, and two infant stabilization rooms. Our unit is safely staffed with experienced labor and delivery nurses, a 24-hour obstetrician and certified nurse midwife, obstetrical technologists, and a back-up maternal fetal medicine physician.

The Clinical Nurse practices at the level of an advanced beginner to expert practitioner of professional nursing in accordance with, and guided by the Nursing Professional Practice Model. The nurse at this level demonstrates competence in caring for patients and families and progresses to caring for those with the most complex problems/highest acuity in the designated clinical area. Provides age/developmentally appropriate care. Care is delivered through RN leadership for patient care within the framework of family-centered care.

The Clinical Nurse adheres to the organizational and nursing department mission, vision, and values. S/he practices in accordance with the ANA Code of Ethics; the ANA Standards of Clinical Nursing Practice; practice standards of applicable specialty nursing organizations; and developed standards of nursing practice. The professional nurse practices within the defined scope of practice designated by the Nurse Practice Acts of Pennsylvania and/or New Jersey, depending on the assigned work site.

• Clinical Practice
• Follows the nursing process to deliver safe, compassionate, and culturally effective care.
• Gathers and recognizes/synthesizes assessment data to determine the patient/family plan of care, pertinent data to be shared with care team, and tasks to be delegated.
• Recognizes and/or seeks resources to recognize clinical changes that are indicative of patient deterioration; utilizes the CAT team when appropriate.
• Collaborates with the patient, family and multidisciplinary team to coordinate all facets of patient care.
• Develops, implements and/or revises the patient's plan of care on admission and during the course of the hospitalization. Plans of care are outcomes focused and include goals as well as required interventions. Plans are developed in partnership with the patient, family, and the interdisciplinary care team.
• Care is coordinated across the continuum - understands and utilizes case management resources.
• Consistently follows evidence based practice bundles and nursing standards/procedures to provide nursing care that eliminates preventable events of patient harm and promotes excellent patient outcomes.
• Recognizes and addresses situations which present ethical dilemmas and/or moral distress. Takes steps to actively address the situation. Seeks resources as needed to resolve the situation.
• Demonstrates competence in teaching patients/families and progresses to an expert educator of patients/families.
• Evaluates and documents the care provided on each assigned shift.
• Accountable for the rapid adoption and implementation of clinical practice changes into own practice.

• Registered Nursing License or active Temporary Practice Permit in the Commonwealth of Pennsylvania or State of New Jersey, depending on the assigned work location. Multistate Compact License (including the state of PA) is accepted in lieu of the PA RN license.
• BLS required
• ACLS required
• NRP required

• Nursing diploma.

• At least 12 months of Labor and Delivery RN experience.

• BSN

• At least 2 years of prior experience in Labor and Delivery Nursing

• Computer Competency
• Basic use of a computer (mouse, keyboard, printer, USB ports).
• Basic use of Microsoft Office (Word processing, spreadsheets, presentations and Skype).
• Web browsing, intranet search, document access.
• Use of shared network file space.
• Basic use of patient facing technology (e.g. IV pumps, point of care devices, CR monitors).
• Navigation and use of clinical communication systems.
• Information Literacy
• Determines the nature and extent of clinical information needed and uses the appropriate technology to access it.
• Accesses needed information effectively and efficiently.
• Evaluates information and its sources critically and appropriately incorporates it into clinical practice.
• Evaluates outcomes of the use of information.
• Information Management Literacy
• Navigation of the electronic health record system.
• Ability to locate and review specific patient data in various clinical information systems.
• Effectively uses clinical decision support tools.
• Understands policies and procedures, confidentiality, security, and privacy regulations regarding the use of clinical information systems.
• Ability to collect clinical data using quality improvement tools.

3x12 hour shifts. Rotating shifts (rotating day and night). Every other weekend. HOLIDAY COMMITMENT. 13 week assignment.